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International Urogynecology Journal
Published in: International Urogynecology Journal 7/2010

01-07-2010 | Case Report

An uncommon case of urethrovaginal fistula resulting from tension-free vaginal tape

Authors: Juan Pablo Estevez, Michel Cosson, Malik Boukerrou

Published in: International Urogynecology Journal | Issue 7/2010

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Abstract

Urethrovaginal fistula (UVF) is an uncommon complication after sub-urethral sling placement. This is a report of a 51-year-old woman with stress urinary incontinence who underwent a tension-free vaginal tape (TVT®) in July 2001. Thirty-nine months after the procedure, she complained about pelvic and vaginal pain, bleeding from the vagina and stress urinary incontinence. The gynecological examination revealed a large mid UVF hidden by a 1 cm granuloma. The UVF was closed using simple sutures after removal of the sling. No subsequent treatment was performed.
Literature
1.
Siegel AL (2006) Urethral necrosis and proximal urethro-vaginal fistula resulting from tension-free vaginal tape. Int Urogynecol J Pelvic Floor Dysfunct 17:661–664CrossRefPubMed
2.
Lowman J, Moore RD, Miklos JR (2007) Tension-free vaginal tape sling with a porcine interposition graft in an irradiated patient with a past history of a urethrovaginal fistula and urethral mesh erosion: a case report. J Reprod Med 52:560–562PubMed
3.
Reisenauer C, Wallwiener D, Stenzl A, Solomayer FE, Sievert KD (2007) Urethrovaginal fistula—a rare complication after the placement of a suburethral sling (ivs). Int Urogynecol J Pelvic Floor Dysfunct 18:343–346CrossRefPubMed
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Clemens JQ, DeLancey JO, Faerber GJ, Westney OL, McGuire EJ (2000) Urinary tract erosions after synthetic pubovaginal slings: diagnosis and management strategy. Urology 56:589–594CrossRefPubMed
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Deffieux X, Bonnet K, Chevalier N, Gervaise A, Frydman R, Fernandez H (2005) Urinary complications in sub-urethral sling procedures. J Gynecol Obstet Biol Reprod (Paris) 34:745–756
Metadata
Title
An uncommon case of urethrovaginal fistula resulting from tension-free vaginal tape
Authors
Juan Pablo Estevez
Michel Cosson
Malik Boukerrou
Publication date
01-07-2010
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 7/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-009-1067-7

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